ROBERT LAYNE BONVILLAIN

SHREVEPORT, LA
NPI1548398100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  5046)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
-- ROBERT LAYNE BONVILLAIN LCSW, LAC
1545 LINE AVE STE 170
SHREVEPORT, LA 71101-4629
Phone number: 318-425-3333
Mailing Address
-- ROBERT LAYNE BONVILLAIN LCSW, LAC
1545 LINE AVE STE 170
SHREVEPORT, LA 71101-4629
Phone number: 318-422-3032
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